Active NPI
Jennifer Lynn Dulek, OTRL
- Occupational Therapist
- New York, NY
National Provider Identifier
1053470864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013236
- Practice address
- 411 W 114TH St
Suite 4C
New York, NY 10025-1710 - Phone
- (212) 523-4110
- Fax
- (212) 523-4911
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 013236 | NY | Primary |
Addresses
Primary practice location
411 W 114TH St
Suite 4C
New York, NY 10025-1710
Mailing address
2525 14TH St
Apt. 2F
Astoria, NY 11102-3720
Phone (718) 777-6540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013236 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053470864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 14TH ST",
"address_2": "APT. 2F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023720",
"telephone_number": "718-777-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W 114TH ST",
"address_2": "SUITE 4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251710",
"telephone_number": "212-523-4110",
"fax_number": "212-523-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULEK",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.